=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912498296
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INTEGRITY MEDICAL, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2018
-----------------------------------------------------
Last Update Date | 11/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2522 W 15TH AVE
-----------------------------------------------------
City | EMPORIA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66801-6102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-208-6105
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2522 W 15TH AVE
-----------------------------------------------------
City | EMPORIA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66801-6102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-208-6105
-----------------------------------------------------
Fax | 620-343-2828
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE PROVIDER
-----------------------------------------------------
Name | AMANDA RUXTON
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 207-716-6112
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------